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Individual

MRS. PAMELA RUTH ROSCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
4005 W 65TH ST, SUITE 214, EDINA, MN 55435-1720
(612) 251-7998
(952) 440-9130
Mailing address
5016 EDGEWATER DR, SAVAGE, MN 55378-5614
(952) 440-9130
(952) 440-9130

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
LP0260
MN
106H00000X
Marriage & Family Therapist
Primary
232
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2H117BU
BLUE CROSS
MN
Enumeration date
03/01/2007
Last updated
09/11/2025
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